Efim Kouperberg

Primary specialty

Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X

License

106370 Issued in MD

Practice address

2075 Greenbriar Rd
York, PA 17404-9132

Phone

(410) 428-4155

Fax

(171) 744-1383

NPI assigned

Jun 18, 2020

Last updated

Jun 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1760008494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 GREENBRIAR RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174049132",
            "telephone_number": "410-428-4155",
            "fax_number": "171-744-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 GREENBRIAR RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174049132",
            "telephone_number": "410-428-4155",
            "fax_number": "171-744-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUPERBERG",
        "first_name": "EFIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "MD",
            "license": "106370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Kornilow, DO
• Cynthia Korpanty, LMT
• Erin E Koser, CNM
• Pritha Kothari, MD
• Theresa Kouo, MD
• Hillary Kourliouros, MED
• Jenna N Koury, DMD
• Peter Alexander Kouvatsos, DO
• Hannah Christine Kowalewski, PA-C
• Masia Kpoto, RPH

• Cardiovascular Specialist/Technologist in York, PA
• Providers in York, PA by specialty
• Cardiovascular Specialist/Technologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.